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Office Visit/School Clinic (Injectable)20212022 SEASONAL INFLUENZA VACCINE CONSENT FORM Information collected on this form will be used to document permission for your child to receive the 20212022

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Individuals who are at risk of influenza or are recommended to receive the influenza vaccine for the 2021-2022 season.

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What is form 1 20212022 influenza?

Form 1 20212022 influenza is a form used to report cases of influenza for the year 2021-2022.

Who is required to file form 1 20212022 influenza?

Healthcare providers and facilities are required to file form 1 20212022 influenza.

How to fill out form 1 20212022 influenza?

Form 1 20212022 influenza can be filled out online or submitted via mail with the required information regarding influenza cases.

What is the purpose of form 1 20212022 influenza?

The purpose of form 1 20212022 influenza is to track and monitor influenza cases for public health and research purposes.

What information must be reported on form 1 20212022 influenza?

Information such as number of cases, demographics of patients, severity of symptoms, and any complications must be reported on form 1 20212022 influenza.

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